43425 Repair esophagus opening
Also known as: esophageal repair with reconstruction, esophageal opening repair with anastomosis, cervicothoracic esophageal repair
Repair of esophageal opening with creation of esophagogastric or other anastomosis via cervical or thoracic approach for complex defects. This addresses complex esophageal defects.
In Plain Language
major surgery to repair and reconnect esophagus; esophageal reconstruction
Clinical Context
Complex repair for extensive esophageal defects requiring reconstruction; may require staged procedures or flap coverage.
RVU Breakdown
| Work RVU | 24.41 |
| Total RVU | 24.41 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 24.41, this code ranks in the 88th percentile among Surgery codes — 3.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43425?
CPT 43425 (Repair esophagus opening) is a Surgery code. Repair of esophageal opening with creation of esophagogastric or other anastomosis via cervical or thoracic approach for complex defects. This addresses complex esophageal defects.
What is the wRVU value for CPT 43425?
The work RVU for CPT 43425 is 24.41. This code is primarily used by Thoracic Surgery, Surgery. It has a 90-day global period.
When is CPT 43425 used?
Complex repair for extensive esophageal defects requiring reconstruction; may require staged procedures or flap coverage.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.